I’m Just Saying

April 30, 2008 at 6:35 pm 7 comments

As predicted, the OB had a comment about my weight gain over the last two weeks. It came shortly after the “so how are you feeling” question. He did not get the long answer to that question:

I’ve been thinking about that one alot. I’m feeling really, really fantastic, thanks for asking, doc!

Compared to this point in my last pregnancy I have:
*no gestational diabetes
*no back pain
*no problems with blood pressure
*very little anxiety about my ability to handle parenting
*slightly more fatigue (due in part to the midnight-wakeups with my darling toddler).

But you have a form, and I know that ‘weight’ is a big blank category, so I’ll play this game along with you. Why is it, exactly, that “we” need to keep close tabs on my weight gain?

While it’s very easy to find charts and calculators online to tell me how much weight I’m “supposed” to gain, and even lots that warn of the dangers of dieting during pregnancy, it was harder to find anyone who could outline the reasons why too much weight gain is a problem. I found one paragraph about it here.

The following are potential problems with gaining too much weight:

Gestational diabetes
Leg pain
Increased fatigue
Varicose veins
Increased risk of Cesarean delivery
Hight blood pressure

Other than that, the big threat seems to be that if I gain too much weight during pregnancy, and don’t manage to take it all off again, I run the risk of being obese.

Maybe you noticed this when I first came in, doc… but I’m already obese. I’m just as obese as I was before I got pregnant with my first daughter. You may not remember it as well as I do. I had gestational diabetes, and high blood pressure, and symptoms of pre-eclampsia there at the end. You may not recall how much you praised me, in the months after that GD diagnosis, for how well I was controlling my weight. It wasn’t that hard- all it took was measuring and recording every morsel that went in my mouth, and working out at the gym three days a week (with a heart rate monitor, to make sure I wasn’t working out too hard), and pricking myself to check blood sugars 4 times a day. Funny thing was, after the diabetes, when I started eating when I was hungry, and working out because having own body back just felt soooo good… I very quickly got back to my pre-baby weight, and maintained it until that other pregnancy we don’t talk about. I was lucky- I didn’t have time to lose those 5 extra first-trimester pounds after the miscarriage before this current miracle happened.

You are the specialist who is caring for me during this pregnancy- my weight loss after is not your problem or concern. I appreciate your input about what might affect my health during this pregnancy.

Thanks for the warning that she hasn’t turned yet- not that I can do anything about it. I’ll talk to her, but her sister doesn’t listen to me, I don’t imagine she will either. Still, it’s cool to know what’s going on in there.

But last time, I tightly controlled my weight gain, and still had many of the complications that was supposed to help me avoid. This time, I don’t weigh myself. I don’t care. I eat when I’m hungry and move when I can, when I have the energy, and when my daughter wants to dance. And I feel really, really fantastic.

I know there’s no convenient space for that on your chart, and that you have other patients you need to see, and you get overbooked and overworked and really, I’m just here because I love, love, LOVE your little microphone that lets us listen to the amazing miracle that is her teeny, tiny beating heart. So I’m not going to waste your time.

But… I’m just saying.

[edited to remove a word (twice) that my husband says makes me sound angrier about this than I really am]


Entry filed under: Uncategorized.

My new weight-loss plan! the Body is a Wonderland

7 Comments Add your own

  • 1. AnnieMcPhee  |  April 30, 2008 at 8:12 pm

    Awww. For what it’s worth, my daughter didn’t turn until I went into active labor – I know because her head was stuffed up under my breastbone and it was quite uncomfortable…painful even.

    I wish you all the best for your miracle. If you get a chance to see the extremely uplifting “The Business of Being Born” it’s on Netflix. Ok it’s both a warning and very uplifting. And important, IMO. Congratulations on not having diabetes this time!!!!

  • 2. Nicole  |  April 30, 2008 at 8:38 pm

    Ugh. I’m sorry to hear you’re having to deal with that.

    I’m almost 37 weeks pregnant and, luckily, have an OB who has been awesome about the weight issue. In fact, she often chastises *me* for being freaky about it (i.e. I had set myself this arbitrary ‘goal’ of not going over a certain weight and she told me to relax and not worry about it so much). I think part of why she is that way is because I had the weight conversation with her before I ever became her patient. I wrote a letter and had it put in my file and so she knows my history. It might be worth just getting really honest with your provider and telling him what you’ve just told us.

    Good luck! I love being pregnant. I swear that my body works better when I am.

  • 3. Jocelyne  |  April 30, 2008 at 9:07 pm

    That sounds like a plan.

    I mean, I know you’re short on amazing doctors out there, but really, this doesn’t sound like a productive and supportive relationship.

    And really, they’re going to pick on you regardless – did I mention the fact that the doctor got upset at me when I *wasn’t* gaining weight with M? Despite eating bacon for breakfast whenever I felt like it and ending most days with ice cream. Meh.

    Women have been doing this in all shapes and sizes for longer than doctors have been around. Listen to your body. If it says you’re doing fantastically well, it’s probably right.

  • 4. Piffle  |  April 30, 2008 at 10:14 pm

    Good for you! I’m glad this pregnancy is going so well for you. I had GD with my daughter (though not my sons, she’s the middle one) and it’s no picnic. She was the small one too (only 7lb 12 oz), and the only one *not* a C.

  • 5. Karen  |  May 1, 2008 at 12:08 am

    I’m glad this is going so well for you. Really, I can’t imagine having a toddler and not getting enough exercise.

    I think you should keep your doctor up on how things are going, but it wouldn’t hurt to throw in the “everything is better, I must be doing something right!” idea when you mention your total lack of stress out with food and exercise. Give ’em something to think about.

  • 6. anayi  |  May 2, 2008 at 1:43 am

    You rock. I’m glad I got to read this post today.

  • 7. Pants  |  May 26, 2008 at 6:15 pm

    Go in with earplugs in and just take them out for the nice bit? Tell her you’re happy and that she should butt out?! Hee!!

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